Allwebco Web Templates · Build your own toolbar · Site Building Articles · Audio, Fonts, Clipart
powered by
bravenet.com
|
|
Pet Name; ID Tag: #
Minimum Donation; Date;
612 West Walnut
Riley, KS 66531
Phone: 785-485-2751
E-mail: hfdp@earthlink.net
PET GUARDIANSHIP AGREEMENT;
IN CONSIDERATION OF RECEIVING THE DOG DESCRIBED BELOW, GUARDIAN HEREBY AGREES TO THE FOLLOWING TERMS AND CONDITIONS.
ü I agree to care for the pet humanely, provide quality food and water in appropriate quantities, provide annual vaccinations, administer heartworm prevention (Interceptor Brand ONLY for collies and shelties) monthly (year round), and veterinary care as needed.
ü I agree to keep identification tags on the pet at all times.
ü I understand that this pet has been rescued and while it appears healthy, no health guarantee is made. I understand that if this pet requires medical care, I am responsible.
ü I understand that a securely fenced yard is mandatory and that the dog has to be kept on a leash at all times when not in a securely fenced yard.
ü I agree to comply with the laws of the city in which I live with respect to licensing and control laws, which may be in force.
ü I agree to not permit the pet to be used for vivisection experimental or other laboratory work.
ü I accept this pet as a household (INDOOR) family pet, not to be left outdoors unsupervised or to keep it chained.
ü Puppies may need to complete a series of vaccination as recommended by your Veterinarian. Rabies vaccinations are done by 6 months of age and heartworm preventative is started prior to 6 months of age. I agree to complete these requirements by my own Vet and that HfDP’s may verify that this requirement has been done in a timely fashion.
ü I agree to keep this dog solely as a pet and return the dog to HfDP’s if unable to continue to provide a home or the required veterinary care. I also agree not to sell, give or otherwise transfer the dog to anyone other than HfDP’s.
ü I will notify HfDP’s on any change of address or phone number.
ü I will notify HfDP’s within 24 hours if the dog is lost or stolen.
ü I understand that this dog can ONLY be humanely euthanized upon a licensed Veterinarian’s recommendation due to untreatable health conditions that would leave the pet to suffer otherwise.
ü I will notify HfDP’s if and/or when adoptive pet crosses the Rainbow Bridge (dies).
ü I understand that donations made for this dog are non-refundable.
ü Additional requirements (if any) required for the pet currently being adopted:
ü HfDP’s reserves the right to enforce this contract in order to protect the welfare of the adopted dog. It is understood that HfDP’s may examine and make inquiry about said dog at any time. If the terms and conditions of the Adoption Agreement are not upheld, HfDP’s reserves the right to terminate the agreement, to reclaim the dog and to inflict a $2,500 fully enforceable penalty in situations where the contract has not been upheld.
ü 1 By signing this agreement, I agree to indemnify and hold harmless HfDP’s and it’s representatives from any and all loss, damage or expense arising from the negligence or willful misconduct by the “ADOPTER(S)”, the actions of the dog or failure of the “ADOPTER(S)” to abide by the terms of this agreement.
DESCRIPTON OF PET TO BE ADOPTED:
Pet’s Name: Male: Female: Breed: Color:
Birthdate or Age: Spayed/Neutered: Micro chip;
Medical Information:
Rabies: done: ____________________ due: _____________________
DHLPP: done: ____________________ due:______________________
Bordatella: done: _____________________due:_____________________
HW Test: done:______________________due:_____________________
HW Preventative given: _____________________due:_____________________
Frontline given:______________________due:_____________________
De-worm done: ______________________________________________
I have carefully read the above and fully understand the adoption policy and my responsibility to and for my pet.
Name (Print)____________________________________________________________
Address___________________________________City_________________Zip______
Phone(s)_______________________________________________________________
E-mail Address: _________________________________________________________
D.L.#_______________Vehicle license_________________or SS#________________
Signature_______________________________________________Date____________
bravenet.com